How much rates vary
Facilitymedian $1,072 · 10th to 90th $575 to $2,042Professionalmedian $525 · 10th to 90th $74 to $1,072
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $562.34 Median $954.99 Typical High $2,398.83 | Facility | None | $562.34 | $954.99 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $426.58 Typical High $1,071.52 | Professional | None | $141.25 | $426.58 | $1,071.52 |
BCBS Alabama Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Alabama Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $776.25 | Professional | None | $426.58 | $588.84 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $1,258.93 | Facility | None | $549.54 | $891.25 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $245.47 Typical High $741.31 | Professional | None | $81.28 | $245.47 | $741.31 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,000.00 Typical High $3,162.28 | Facility | None | $467.74 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $58.88 Median $426.58 Typical High $741.31 | Professional | None | $58.88 | $426.58 | $741.31 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $213.80 Typical High $537.03 | Professional | 52 · Reduced service | $70.79 | $213.80 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $85.11 Typical High $213.80 | Professional | 53 · Discontinued | $28.18 | $85.11 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $323.59 Typical High $794.33 | Professional | 54 · Surgery only | $107.15 | $323.59 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $64.57 Typical High $162.18 | Professional | 55 · Aftercare only | $21.38 | $64.57 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $42.66 Typical High $107.15 | Professional | 56 · Pre-op care only | $14.13 | $42.66 | $107.15 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | GC · Resident with teaching physician | $69.18 | $69.18 | $69.18 |
Where Alabama sits
The same service costs 5.6 times more in Colorado than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
CO $4,728MT $843
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.